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Please fill out the following information to apply for a job at Long Family Farm & Orchard
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Birth Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What position are you applying for?*

Customer serviceDonut MakerActivity AttendantTractor Driver (must be 18 years or older)
What is your current employment status?*

EmployedUnemployedSelf-EmployedStudentOther
Are you a U.S. Citizen?*

YesNo
Current grade or highest level of education completed*
School Attended
Previous or Current Employment
First Job?*

YesNo
Previous or Current Employer*
Length of time at last employer*

< 6 Months6 Months - 1 Year1 - 3 YearsGreater than 3 years
Supervisor’s Name:
Supervisor’s Phone Number:
I give permission to contact this supervisor
What Experience (if any) do you have dealing with children and/or the public?*
Name of Employee who Referred You?
Available start date:*

MonthDayYear
Date
Indicate your potential availability for this season*

Weekdays (8:30-3:30pm)Weekdays (3pm-6pm)WeekendsWeekend Nights (6pm-10pm)
Are there any days of the week you can NOT work?*
Are there specific dates or weekends you are unavailable to work?*
Are you involved with any groups, sports, clubs, or other activities that have a variable schedule? If so, please explain. If not, just write n/a below
Do you have any impairments or issues that would interfere with your ability to do certain jobs at Long Family Farm? This includes but is not limited to, stocking products, lifting heavy objects, standing for long periods, working outside, or dealing with large groups of people. Please include any and all back related issues. If not available, write n/a*
Have you ever been convicted of a felony or misdemeanor?*

YesNo
Pay

Pay is $13+ depending on experience and/or responsibility.
Certification and Acknowledgment

I certify that the information I have provided is true and complete to the best of my knowledge and that I personally completed this application. I understand that any omission, misstatement, or misrepresentation may result in rejection of my application or termination of employment, regardless of when discovered.

I understand that if employed by Long Family Orchard & Farm, my employment will be at-will, meaning either I or the company may end the employment relationship at any time, with or without cause or notice. I further acknowledge that no promise or agreement altering this at-will status is binding unless made in writing and signed by the Owner of Long Family Farm.
Signature

Clear
Please verify that you are human*
Should be Empty:

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Previous or Current Employment